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Expecting Multiples

This is a comprehensive series for families who are expecting multiples. We offer a seven weeknight series or weekend condensed formats. Parents who have previously given birth to singletons are welcome to take a subset of the classes, to learn how things may be different with multiples.

Register now >> or call (206)789-0883.

Class Topics:

Week 1: Pregnancy with Multiples
This class will offer an overview of your pregnancy timeline, weight gain and nutritional guidelines, fraternal vs. identical babies, setting up support, and connecting with local mothers of multiples. It includes the opportunity to meet and connect with other class participants – who are also expecting multiples! You will receive handouts on belly and back support, obtaining a disabled parking permit, and planning for short-term disability.

Week 2: Labor Preparation with Multiples
This class discusses the normal process of labor and birth, methods such as breathing and relaxation for coping with pain in labor, and the role of the support person in labor.

Week 3: Preventing Preterm Birth
Topics include how to respond to signs of problems that could lead to premature birth and about the needs of preterm infants.

Week 4: Birth of Multiples
This class explores in depth what makes a birth with multiples different from the birth of a single baby. Topics include vaginal birth of twins, potential variations of delivery for the second baby, the roles of staff members, Cesarean section birth, and epidural anesthesia.

Week 5: Breastfeeding Multiples
This class is about breastfeeding and discusses the basics of how a woman’s body produces milk, successful breastfeeding of 2 or more babies, choosing a twin nursing pillow, breast pumping, and milk storage.

Week 6: Basics of Newborn Care
This class discusses postpartum adjustment, normal newborn care, setting up your home, and tips for coping with more than 1 infant.

Week 7: Parenting Multiples
This class reviews parenting multiples, planning for success with newborn multiples, learning how to accept help from friends and families, setting up your home, choosing essential equipment, and tips for coping and thriving with more than 1 infant.


When to take this class: Because the class covers important topics related to preventing complications, register for a series that starts as early in your pregnancy as you are able, or at the latest, the series should be completed by 32 weeks gestation.

Cost: $245/couple for first-time parents (7 classes); $175/couple for experienced parents (5 classes). We can accept ProviderOne/DSHS for the series, and partial scholarships are available on request.

The weeknight series includes: 7 classes, each lasting 2.5 hours. Families who already have children can take a subset of five classes, which includes class 1, 3, 4, 5, 7. We recommend that families take the classes in order, but if the timing isn’t right for you, then you can join a series partway through, and then make up the first few class sessions during our next series. We also offer a weekend condensed format, with the content from all seven classes fit into two 6.5 hour days.

Our Instructor

Sheryl Rasmussen, RN is a childbirth educator and Labor and Delivery nurse at the University of Washington Medical Center. She co-developed the curriculum for Expecting Multiples and has been teaching this class for 15 years.

We also bring in former class members to share their pregnancy, birth, and parenting stories during our series.